Functional Integrative Rehabilitation Education

The Muscle They Named Wrong

The Abductor Hallucis

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It's been a while since I have published here. This is something I wrote a while ago and since I see lots of foot patients, thought was applicable. The AHB is easily needled, and you should probably include the flexor hallucinations braves as well as the adductor hallucinations.
 
Why would you name a . . .

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March 12, 2021

Inability to descend the distal first ray = bunion

 
Silvrback blog image
Silvrback blog imageTake a look at this classic example a bunion.
 
A bunion occurs because of the untoward action of the adductor hallucis. Normally, when the distal first ray is anchored, it contributes to the transverse and medial longitudinal arches of the foot as well as applying compressive forces across . . .

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December 09, 2019

Toes in for squats?

Sometimes it’s OK for “toes in“ squats...

I often hear from folks and also read on a lot of blogs and articles about whether your toes should be in or out for squats or other types of activities. The real answer is “it depends”.

What it depends on is the patient’s specific anatomy. That means we . . .

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August 19, 2019

How good are your eyes? Can you pick up on the subtle gait abnormalities?

 

As I study this video more and more (yep, we just keep looking at things because we are that nerdy and that paranoid that we missed something) I saw at least 3 very subtle findings. 

 

 

 

Watch the video of this right handed physical therapist who had L knee reconstruction (MCL/ACL with . . .

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June 24, 2019

Holy twisted tibias Batman!

Holy twisted tibias Batman! What is going here in this R sided knee pain patient?

 

In this 1st picture note this patient is in a neutral posture. Note how far externally rotated her right foot is compared to the left. Note that when you drop a plumbline down from the tibial tuberosity it does not pass-through or between the . . .

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June 10, 2019

Muscle Spindles and Proprioception

And what have I been saying for years now? 

 

Silvrback blog imageConnected to the nervous system by large diameter afferent (sensory) fibers, muscle spindles are classically thought of as sentinels that appraise the nervous system of vital information like length and rate of change of length of muscle fibers, so that information . . .

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January 17, 2019

Facilitation

While running intervals on a cool 19 degree morning, something dawned on me. My left knee was hurting from some patellar tracking issues, but only on initial contact and toe off. I generally run with a midfoot strike. I began concentrating on my feet, lifted and spread my toes and voila! my knee pain instantly improved. Very cool, and that is . . .

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December 22, 2018

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